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Notched P wave

MedGen UID:
455867
•Concept ID:
C2983640
•
Finding
Synonyms: Notched P Wave; P Wave Notched; P Wave Notched by ECG Finding; P Wave Notched by EKG Finding
 
HPO: HP:0031598

Definition

V-shaped cut (notch) in the middle of the P wave. [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVNotched P wave

Professional guidelines

PubMed

Sensitivity and specificity of commonly used electrocardiographic criteria for left atrial enlargement determined by M-mode echocardiography.
Munuswamy K, Alpert MA, Martin RH, Whiting RB, Mechlin NJ
Am J Cardiol 1984 Mar 1;53(6):829-32. doi: 10.1016/0002-9149(84)90413-2. PMID: 6230922
Assessment of electrocardiographic criteria for left atrial enlargement in childhood.
Maok J, Krongrad E
Am J Cardiol 1984 Jan 1;53(1):215-7. doi: 10.1016/0002-9149(84)90714-8. PMID: 6229174

Recent clinical studies

Etiology

Notched P-Wave on Digital Electrocardiogram Predicts Cardiovascular Events in Patients with Cardiovascular Risks: The Japan Morning Surge Home Blood Pressure Study.
Kabutoya T, Hoshide S, Kario K
Cardiology 2022;147(3):307-314. Epub 2022 Feb 11 doi: 10.1159/000522508. PMID: 35152222
Electrocardiogram characteristics of P wave associated with successful pulmonary vein isolation in patients with paroxysmal atrial fibrillation: Significance of changes in P-wave duration and notched P wave.
Yanagisawa S, Inden Y, Okamoto H, Fujii A, Sakamoto Y, Mamiya K, Tomomatsu T, Shibata R, Murohara T
Ann Noninvasive Electrocardiol 2020 Mar;25(2):e12712. Epub 2019 Sep 30 doi: 10.1111/anec.12712. PMID: 31566884Free PMC Article
Electrocardiographic abnormalities in patients with pericardial disease--Association of PR segment depression with arrhythmias and clinical signs: Experience of cardiac surgery center.
Kudaiberdiev T, Dzhumagulova A, Joshibayev S, Tilemanbetova K, Imanalieva G
J Electrocardiol 2016 Jan-Feb;49(1):29-36. Epub 2015 Nov 11 doi: 10.1016/j.jelectrocard.2015.10.007. PMID: 26614578
P-wave morphologic characteristics predict cardiovascular events in a community-dwelling population.
Kabutoya T, Ishikawa S, Ishikawa J, Hoshide S, Kario K; JMS Cohort Study Investigators Group
Ann Noninvasive Electrocardiol 2012 Jul;17(3):252-9. doi: 10.1111/j.1542-474X.2012.00529.x. PMID: 22816544Free PMC Article
Morphological characteristics of P waves during selective pulmonary vein pacing.
Yamane T, Shah DC, Peng JT, Jaïs P, Hocini M, Deisenhofer I, Choi KJ, Macle L, Clémenty J, Haïssaguerre M
J Am Coll Cardiol 2001 Nov 1;38(5):1505-10. doi: 10.1016/s0735-1097(01)01578-9. PMID: 11691531

Diagnosis

Electrocardiographic abnormalities in patients with pericardial disease--Association of PR segment depression with arrhythmias and clinical signs: Experience of cardiac surgery center.
Kudaiberdiev T, Dzhumagulova A, Joshibayev S, Tilemanbetova K, Imanalieva G
J Electrocardiol 2016 Jan-Feb;49(1):29-36. Epub 2015 Nov 11 doi: 10.1016/j.jelectrocard.2015.10.007. PMID: 26614578
P-wave pseudonormalization after iatrogenic coronary sinus isolation.
Sadiq Ali F, Enriquez A, Redfearn D, Baranchuk A
J Electrocardiol 2016 Jan-Feb;49(1):13-4. Epub 2015 Aug 15 doi: 10.1016/j.jelectrocard.2015.08.030. PMID: 26381799
P-wave morphologic characteristics predict cardiovascular events in a community-dwelling population.
Kabutoya T, Ishikawa S, Ishikawa J, Hoshide S, Kario K; JMS Cohort Study Investigators Group
Ann Noninvasive Electrocardiol 2012 Jul;17(3):252-9. doi: 10.1111/j.1542-474X.2012.00529.x. PMID: 22816544Free PMC Article
Morphological characteristics of P waves during selective pulmonary vein pacing.
Yamane T, Shah DC, Peng JT, Jaïs P, Hocini M, Deisenhofer I, Choi KJ, Macle L, Clémenty J, Haïssaguerre M
J Am Coll Cardiol 2001 Nov 1;38(5):1505-10. doi: 10.1016/s0735-1097(01)01578-9. PMID: 11691531
Sensitivity and specificity of commonly used electrocardiographic criteria for left atrial enlargement determined by M-mode echocardiography.
Munuswamy K, Alpert MA, Martin RH, Whiting RB, Mechlin NJ
Am J Cardiol 1984 Mar 1;53(6):829-32. doi: 10.1016/0002-9149(84)90413-2. PMID: 6230922

Therapy

P-wave pseudonormalization after iatrogenic coronary sinus isolation.
Sadiq Ali F, Enriquez A, Redfearn D, Baranchuk A
J Electrocardiol 2016 Jan-Feb;49(1):13-4. Epub 2015 Aug 15 doi: 10.1016/j.jelectrocard.2015.08.030. PMID: 26381799
P wave morphology of an arrhythmogenic focus in patients with atrial fibrillation originating from a pulmonary vein or the superior vena cava.
Ohkubo K, Watanabe I, Yamada T, Okumura Y, Hashimoto K, Ashino S, Kofune M, Kofune T, Shindo A, Sugimura H, Nakai T, Kunimoto S, Hirayama A
Circ J 2008 Oct;72(10):1650-7. Epub 2008 Sep 1 doi: 10.1253/circj.cj-08-0099. PMID: 18758086

Prognosis

Notched P-Wave on Digital Electrocardiogram Predicts Cardiovascular Events in Patients with Cardiovascular Risks: The Japan Morning Surge Home Blood Pressure Study.
Kabutoya T, Hoshide S, Kario K
Cardiology 2022;147(3):307-314. Epub 2022 Feb 11 doi: 10.1159/000522508. PMID: 35152222
Electrocardiographic abnormalities in patients with pericardial disease--Association of PR segment depression with arrhythmias and clinical signs: Experience of cardiac surgery center.
Kudaiberdiev T, Dzhumagulova A, Joshibayev S, Tilemanbetova K, Imanalieva G
J Electrocardiol 2016 Jan-Feb;49(1):29-36. Epub 2015 Nov 11 doi: 10.1016/j.jelectrocard.2015.10.007. PMID: 26614578
P-wave morphologic characteristics predict cardiovascular events in a community-dwelling population.
Kabutoya T, Ishikawa S, Ishikawa J, Hoshide S, Kario K; JMS Cohort Study Investigators Group
Ann Noninvasive Electrocardiol 2012 Jul;17(3):252-9. doi: 10.1111/j.1542-474X.2012.00529.x. PMID: 22816544Free PMC Article
P wave morphology of an arrhythmogenic focus in patients with atrial fibrillation originating from a pulmonary vein or the superior vena cava.
Ohkubo K, Watanabe I, Yamada T, Okumura Y, Hashimoto K, Ashino S, Kofune M, Kofune T, Shindo A, Sugimura H, Nakai T, Kunimoto S, Hirayama A
Circ J 2008 Oct;72(10):1650-7. Epub 2008 Sep 1 doi: 10.1253/circj.cj-08-0099. PMID: 18758086
Morphological characteristics of P waves during selective pulmonary vein pacing.
Yamane T, Shah DC, Peng JT, Jaïs P, Hocini M, Deisenhofer I, Choi KJ, Macle L, Clémenty J, Haïssaguerre M
J Am Coll Cardiol 2001 Nov 1;38(5):1505-10. doi: 10.1016/s0735-1097(01)01578-9. PMID: 11691531

Clinical prediction guides

Notched P-Wave on Digital Electrocardiogram Predicts Cardiovascular Events in Patients with Cardiovascular Risks: The Japan Morning Surge Home Blood Pressure Study.
Kabutoya T, Hoshide S, Kario K
Cardiology 2022;147(3):307-314. Epub 2022 Feb 11 doi: 10.1159/000522508. PMID: 35152222
Electrocardiographic abnormalities in patients with pericardial disease--Association of PR segment depression with arrhythmias and clinical signs: Experience of cardiac surgery center.
Kudaiberdiev T, Dzhumagulova A, Joshibayev S, Tilemanbetova K, Imanalieva G
J Electrocardiol 2016 Jan-Feb;49(1):29-36. Epub 2015 Nov 11 doi: 10.1016/j.jelectrocard.2015.10.007. PMID: 26614578
P-wave morphologic characteristics predict cardiovascular events in a community-dwelling population.
Kabutoya T, Ishikawa S, Ishikawa J, Hoshide S, Kario K; JMS Cohort Study Investigators Group
Ann Noninvasive Electrocardiol 2012 Jul;17(3):252-9. doi: 10.1111/j.1542-474X.2012.00529.x. PMID: 22816544Free PMC Article
P wave morphology of an arrhythmogenic focus in patients with atrial fibrillation originating from a pulmonary vein or the superior vena cava.
Ohkubo K, Watanabe I, Yamada T, Okumura Y, Hashimoto K, Ashino S, Kofune M, Kofune T, Shindo A, Sugimura H, Nakai T, Kunimoto S, Hirayama A
Circ J 2008 Oct;72(10):1650-7. Epub 2008 Sep 1 doi: 10.1253/circj.cj-08-0099. PMID: 18758086
Morphological characteristics of P waves during selective pulmonary vein pacing.
Yamane T, Shah DC, Peng JT, Jaïs P, Hocini M, Deisenhofer I, Choi KJ, Macle L, Clémenty J, Haïssaguerre M
J Am Coll Cardiol 2001 Nov 1;38(5):1505-10. doi: 10.1016/s0735-1097(01)01578-9. PMID: 11691531

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